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Donation Request Form

Thank you for considering Chick-fil-A Bloomington for your event or organization. We are passionate about creating meaningful impact within our community and are grateful for the opportunity to learn more about how we may be able to support your efforts.

While we would love to fulfill every request, submitting this form does not guarantee approval of a donation or sponsorship. Each request is thoughtfully reviewed based on timing, availability, community impact, and current partnership opportunities.

We appreciate you taking the time to complete this form and look forward to learning more about your organization and event.

Organization Name:

Main Contact Name:

Contact Email:

Contact Phone Number:

Is your organization a registered nonprofit?

A
B

If applicable, please provide your Tax Exempt Number:

Tell us briefly about your organizations event and needs:

Date of Donation Requested (must be a minimum of 2 weeks. notice):

Are you inquiring about a food donation or Meal cards donation?

A
B

If yes for meal cards, please include name and number of individual picking up the donation

Please fill out rest of form for FOOD DONATION REQUESTS ONLY

For Food Donations- please select a 2nd date for donation option in case 1st date is unavailable:

Event Location:

Estimated Number of Guests Attending:

What food donation would you be most interested in?

Are there any known allergies?

Will Paper Goods Be Needed:

A
B

If yes, please select what is needed:

How will the donation be recieved?

A
B

If Delivery- any special instructions:

Name of person picking up donation:

Phone number of person picking up donation:

Have we supported your organization in the past?

A
B